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DTM WELLNESS PLLC
NPI 1306478417
Pain Medicine - Pain Medicine in Tyler, TX

Active since February 06, 2020
601 SHELLEY PARK PLZ, TYLER, TX 75701(972) 920-6968 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dtm Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DTM WELLNESS PLLC (NPI 1306478417) is a healthcare organization registered as a pain medicine in Tyler, Texas and active in the NPI registry since February 2020. The organization lists Derek T Mitchell, Owner, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1306478417
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameDTM WELLNESS PLLC
Location Address601 SHELLEY PARK PLZTyler, TX 75701-9457
Mailing Address601 Shelley Park PlzTyler, TX 75701-9457 · (972) 920-6968
Phone(972) 920-6968
Organization SubpartNo
Authorized OfficialDerek T MitchellOwner, Authorized Official · (972) 920-6968
Enumeration DateFebruary 6, 2020
✔ NPI 1306478417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
601 SHELLEY PARK PLZ, Tyler, TX 75701
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dtm Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dtm Wellness PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Sarah Harville, WHNP-BC
Nurse Practitioner
NPI 1619344579
3900 JOE RAMSEY BLVD E
Greenville, TX 75401
(903) 454-1722
✔ PECOS✔ Accepts Medicare74 mi
Eric Manalansan
Physical Therapist in Private Practice
NPI 1881766178
210 W CAMPBELL RD
Richardson, TX 75080
(469) 709-4178
✔ Accepts Medicare94 mi
Derek Mitchell, MD
Anesthesiology
NPI 1093744484
1500 CITYWEST BLVD STE. 300
Houston, TX 77042
(713) 620-4000
✔ PECOS✔ Accepts Medicare177 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dtm Wellness PLLC's NPI number?

The NPI number for Dtm Wellness PLLC is 1306478417. It was assigned to this organization in the NPPES registry on February 6, 2020.

Where is Dtm Wellness PLLC located?

Dtm Wellness PLLC is located at 601 Shelley Park Plz, Tyler, TX 75701. The listed phone number is (972) 920-6968.

What is Dtm Wellness PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Dtm Wellness PLLC enrolled in Medicare?

Yes. Dtm Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dtm Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dtm Wellness PLLC, in Anesthesiology, Nurse Practitioner and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dtm Wellness PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Dtm Wellness PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dtm Wellness PLLC was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.